| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 55405 | 6096-2601 | Rabia Kanwal | Ticozid 400mg Inj | 2250 | 1 | 1 | 2,250 |
| 55490 | 6096-2601 | Rabia Kanwal | Cytorox 1G inj | 1730 | 1 | 0 | 0 |
| 55500 | 6096-2601 | Rabia Kanwal | Kefcef 1g Inj | 450 | 2 | 0 | 0 |
| GRAND TOTAL | 2,250 | ||||||